Individual
ASHLEY NICOLE CREEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N WINROCK ST, LIBERTY LAKE, WA 99019-5093
(208) 697-1421
Mailing address
2100 N WINROCK ST, LIBERTY LAKE, WA 99019-5093
(208) 697-1421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60704623
WA
390200000X
Student in an Organized Health Care Education/Training Program
RN60311256
WA
Other
Enumeration date
07/09/2016
Last updated
12/06/2016
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